Gene analysis (cytochrome p450, family 2, subfamily c, polypeptide 19) common variants
Medicare pricing data for 135 providers across 23 states
Note: These costs reflect the Medicare physician/supplier component. Hospital facility fees are billed separately and can be 2-5x the physician fee.
💡 What You Should Know
Gene analysis (cytochrome p450, family 2, subfamily c, polypeptide 19) common variants (HCPCS code 81225) is a medical procedure billed to Medicare. The average Medicare-allowed cost is $285.11, but hospitals typically charge $483.02 — a 1.7x markup. Prices vary significantly by state and provider.
🏷️ Typical Out-of-Pocket Cost
Medicare patients typically pay about 20% of the allowed amount as coinsurance. Based on the average allowed cost of $285.11, your out-of-pocket cost would be approximately $57.02. Actual costs depend on your specific plan, deductible, and whether you've met your annual out-of-pocket maximum.
What Hospitals Charge vs. What Medicare Pays
Hospitals charge 1.7x more than what Medicare allows for this procedure. Medicare actually pays $285.11 on average.
Cost by State
Medicare-allowed amounts vary significantly by state
| State | Allowed Cost | Hospital Charge | Providers | Services | vs. National |
|---|---|---|---|---|---|
| Kentucky | $286 | $395 | 3 | 130 | +0.1% |
| Louisiana | $286 | $326 | 3 | 37 | +0.1% |
| Michigan | $286 | $431 | 1 | 36 | +0.1% |
| Mississippi | $286 | $424 | 2 | 81 | +0.1% |
| Nevada | $286 | $292 | 1 | 27 | +0.1% |
| New Jersey | $286 | $388 | 13 | 1,996 | +0.1% |
| New York | $286 | $583 | 1 | 97 | +0.1% |
| Oklahoma | $286 | $582 | 2 | 44 | +0.1% |
| South Carolina | $286 | $583 | 2 | 216 | +0.1% |
| Utah | $286 | $583 | 1 | 23 | +0.1% |
| Arizona | $286 | $508 | 3 | 498 | +0.1% |
| Arkansas | $286 | $583 | 1 | 22 | +0.1% |
| California | $286 | $669 | 4 | 74 | +0.1% |
| Colorado | $286 | $950 | 2 | 32 | +0.1% |
| Connecticut | $286 | $864 | 1 | 43 | +0.1% |
| Florida | $285 | $349 | 24 | 2,670 | +0.1% |
| Ohio | $285 | $681 | 5 | 2,758 | +0.1% |
| Texas | $285 | $540 | 45 | 1,396 | +0.0% |
| Pennsylvania | $284 | $337 | 6 | 887 | -0.3% |
| Indiana | $282 | $333 | 1 | 53 | -1.2% |
| Minnesota | $279 | $613 | 2 | 37 | -2.2% |
| Virginia | $273 | $364 | 2 | 122 | -4.1% |
| Massachusetts | $268 | $508 | 3 | 15 | -6.0% |
⚠️ Important: These costs reflect the Medicare physician/supplier component. Hospital facility fees may be billed separately. Total out-of-pocket costs may be higher.
💊 Need post-procedure medications? Check costs on OpenPrescriber